

Having trouble scheduling ? just call 707-269-6642 or email [email protected]
Zlatoslava (Z) Karga, DNP, PMHNP-BC Board-Certified Psychiatric Nurse Practitioner
I am a board-certified Psychiatric Nurse Practitioner and Doctor of Nursing Practice with six years of clinical experience serving individuals across the lifespan. As a U.S. veteran, I bring a deep respect for resilience, service, and the diverse paths that shape each person’s mental health journey.
My practice is grounded in a holistic approach to assessment and treatment—one that honors not only where you are in life, but who you are as a whole person. I believe effective care goes beyond symptom management. It requires curiosity, collaboration, and a willingness to think outside the box to find solutions that truly fit your needs.
I am committed to building long-term therapeutic relationships based on trust, transparency, and mutual respect. Whether we’re exploring innovative treatment options or navigating life’s challenges together, my goal is to create a space where you feel seen, supported, and empowered to move toward meaningful change.
Hi, I’m a Board-Certified Psychiatric Mental Health Nurse Practitioner with over 20 years of nursing experience. I provide thoughtful, personalized care for individuals dealing with anxiety, depression, ADHD, and other common mental health concerns. My approach is warm, respectful, and judgment-free — I believe real healing starts with feeling heard and understood. I work closely with each client to create a treatment plan that feels supportive, practical, and tailored to their unique needs.
I know how heavy life can feel when you’re carrying pain, uncertainty, or self-doubt. But I believe, as a wise old wizard once said, “Happiness can be found even in the darkest of places, if one only remembers to turn on the light.” My role is to help you find that light again. I work with Gen Z and Millennial adults facing anxiety, depression, trauma, bipolar disorder, ADHD, and more. Through integrative, culturally responsive care, I combine evidence-based psychiatry with holistic strategies to help you feel heard, supported, and empowered to create a life that aligns with your true self.
I am board certified Psychiatric Mental Health Nurse Practitioner providing telehealth services throughout California. I believe mental health care should feel supportive, respectful, and tailored to your unique needs.
Julie Ann Therese, PMHNP-BC is the Founder & CEO of Alternative Awakenings Psychiatry, a group practice with multiple rotating providers. She provides medication management with therapy integration (no stand-alone therapy). Julie supports adults and women, with a focus on perinatal mental health and the Filipino-American community.
Diagnoses are based on clinical findings; she does not offer evaluations solely to obtain a specific diagnosis (e.g., ADHD).
For immediate response please call/text our office at 530-691-0193 or +18555985659
UPDATED HOURS OF OPERATION AS OF 4/01/2026
Front office hours: Weekdays 8 am to 5 pm.
Providers’ office hours are by APPOINTMENT only:
Monday/Tuesday from 9AM to 7PM
Wednesday 9AM-12PM
Thursday 9AM-5PM
Friday 9AM-12PM.
Weekend hours for CONSULTATIONS ONLY: 12PM-5PM
BOOKING PROCESS:
A deposit is requested to reserve your appointment time. For Headway patients, this deposit is fully refundable. It is not applied as payment for services unless insurance cannot be verified, a claim cannot be submitted due to incomplete or inaccurate insurance information, no valid payment method is available in Headway or Alma, or you are otherwise responsible for the charges.
UPDATES AS OF 3/30/2026
Practice & Availability Disclaimer
Julie is nearing her maternity leave and has 2 providers covering. Julie will remain actively involved in the practice by monitoring, supervising, and approving treatment plans as part of a collaborative clinical team to ensure continuity and quality of care.


Headway makes it easy to find support for your mental health — from finding the right provider, to understanding costs, to scheduling with ease.